# A client is preparing for discharge after total hip arthroplasty. Which statement shows correct understanding of home activity instructions?

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> subject: Case Management  
> category: MOC

## Question

A client is preparing for discharge after total hip arthroplasty. Which statement shows correct understanding of home activity instructions?

## Option

1. Resume my usual stair pattern as soon as the incision discomfort has resolved
2. Use the taught device and stair sequence until the surgeon clears a change **✔ Correct answer**
3. Keep the operated leg motionless during transfers to protect the new joint
4. Cross my legs at the knees when sitting in a firm chair at home

**Correct answer: 2**

## Explanation

After hip replacement, the client follows the taught stair sequence and uses the prescribed assistive device until the surgical team advances activity. Pain relief alone does not establish safe strength, balance, or joint precautions.

## In-depth explanation

Quick answer
Continue the taught stair method and prescribed assistive device until the surgeon or rehabilitation team clears a change.

Why this is correct
Early walking and graded activity support recovery, but the safest technique remains individualized to the surgical approach, strength, balance, and rehabilitation progress. The client should not use pain relief alone as permission to abandon the discharge plan.

Easy analogy or mental picture
The discharge plan is like temporary lane markings through a construction zone: it guides safe movement until the route is formally reopened. The comparison explains why clearance matters, but the actual device and precautions must come from the surgical team.

Memory hook
After joint replacement, progress by function plus clearance, not by pain relief alone.

NCLEX decision rule
For postoperative home activity, choose the option that follows the individualized mobility plan, uses prescribed equipment, and advances activity after reassessment. Reject self-directed shortcuts and unnecessary immobility.

Why the other choices are wrong
Resolved incision discomfort does not prove safe stair mechanics. Keeping the leg motionless impairs recovery, and crossing the knees may violate hip precautions depending on the operative approach and instructions.References

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]Activities After Total Hip ReplacementAmerican Academy of Orthopaedic Surgeons

## Clinical scenario

Clinical Practice Guide
For Postoperative discharge planning, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Discharge Planning** — Coordinated preparation for a safe transition from hospital to another care setting.
- **Home Safety** — Assessment and reduction of hazards that could cause injury after discharge.
- **Physical Therapy** — Rehabilitation service focused on mobility, strength, and functional recovery.

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